Becoming a Specialist Centre
In 2012 The Vascular Society of Great Britain and Ireland published The Provision of Services for Patients with Vascular Disease which stated: “Our primary objective is to provide all patients with vascular disease with the lowest possible elective and emergency morbidity and mortality rates in the developed world. To achieve this we will need to modernise our service and deliver world class care from a smaller number of higher volume hospital sites.”
In October 2013, following a major review of vascular services in Lancashire and Cumbria, it was recommended that Lancashire Teaching Hospitals be designated as one of the major Vascular Interventional Centres in the country with the centre being based at Preston.
The agreed footprint of services is a “hub and spoke” arrangement, with vascular consultants in neighbouring hospitals in Morecambe Bay, Blackpool and Wrightington, Wigan and Leigh bringing all in-patient and emergency arterial work to the centre at Preston, whilst keeping day case and out-patient work locally. This is to ensure patients receive the best care possible but as close to home as possible.
The Arterial Partners Network is now in a position to centralise all major arterial services into the Centre based at Lancashire Teaching Hospitals Trust (LTHT) with full support of the three arterial partner hospitals. The new centre will cover a population of approximately 1.5 million.
The launch date of the service was January 2015 and there is a phased implementation of the centralised service taking place as follows:
- Out of Hours Surgery rota for all four partner trusts July 2014
- Trust 1 (Morecambe Bay)emergencies Jan 2015
- Trust 1 (Morecambe Bay)elective March 2015
- Trust 2 (Wrightington, Wigan and Leigh) emergencies June 2015
- Trust 2 (Wrightington, Wigan and Leigh) elective Sept 2015
- Trust 3 (Blackpool) emergencies Jan 2016
- Trust 3 (Blackpool) elective March 2016
There are 10 vascular surgeon consultants across the partnership, using a consultant of the week system and a separate out of hours on call rota. This means that the consultant of the week deals with all emergencies cases arriving at the centre in working hours, liaises with other hospital sites for patient transfers, undertakes a full ward round each day to review and discharge patients in a timely manner and acts as a consistent point of care for patients. The out of hours rota caters for emergencies which require immediate treatment overnight or at the weekend. This design ensures a consistently safe and high quality service for patients across the partnership.